A patient has been prescribed the dopamine agonist pramipexole (Mirapex) for Parkinson's disease. Which are important for the nurse to include when teaching about this medication? (Select all that apply.)
a. "Take it at noon each day."
b. "Increase fluids and fiber in your diet."
c. "Taking the medication with food may reduce nausea."
d. "You may experience sudden bouts of excessive sleepiness."
e. "Do not drive until the effects of this drug on you are fully known."
f. "Because this drug may interact with some painkillers, be sure to tell health care providers that you are taking Mirapex."
ANS: C, D, E
Patients may fall asleep suddenly when taking this medication. The patient should be cautioned to avoid driving until effects are known. Giving with meals may reduce nausea. B. It is unknown if this medication causes constipation. A. F. Selegiline, not pramipexole, should be given at noon and interacts with meperidine (Demerol).
You might also like to view...
The nurse is aware that which area of the kidney provides quick response to any damage or injury to the kidney cells?
A) Juxtaglomerular apparatus B) Renin–angiotensin–aldosterone system C) Macula densa D) Countercurrent mechanism
The nurse anticipates that drug therapy for an acute severe attack of multiple sclerosis (MS) will be:
a. intravenous methylprednisolone. b. intramuscular injections of interferon be-ta-1b. c. massive doses of antibiotics. d. muscle relaxants and opioids.
A patient comes to the clinic complaining of nausea and vomiting after spending the weekend at a seaside resort. What should be the most important assessment for the nurse?
1. whether the patient is resting and sleeping normally 2. whether the patient is following a typical meal pattern 3. whether the patient had to change time zones when traveling to the resort 4. whether the patient has been sunburned
A client states, "I get so sick to my stomach after chemotherapy. Why can't they just put it directly into my tumor?" Which nursing response is indicated?
1. "There is no technology available to directly place chemotherapy in a tumor." 2. "These are such strong medications that they would eat up your tissues." 3. "That type of therapy does exist, but it does not work for your particular type of cancer." 4. "I know you get sick, but the nausea and vomiting is not severe and passes quickly."